摘要
目的总结淋巴管静脉吻合术(lymphaticovenous anastomosis,LVA)的临床应用研究进展。方法广泛查阅LVA相关文献,就其吻合部位、吻合方式、吻合数量及临床应用方面进行总结,重点分析LVA吻合部位及方式的演变及进展。结果LVA是一种旁路引流手术,自提出至今经历了多阶段性发展。由于个体化差异,目前其吻合部位、吻合方式、吻合数量和临床应用多依赖于术者经验,尚无统一应用场景。结论LVA是非常有前景的手术,能有效缓解早中期淋巴水肿患者的症状,具有创伤小、恢复快等特点,可作为淋巴水肿的一线手术方案。
Objective To summarize the research progress on the clinical application of lymphaticovenous anastomosis(LV A).Methods A comprehensive review of previous literature on LVA was conducted,summarizing the anastomosis sites,techniques,number of anastomoses,and clinical applications,with particular emphasis on the evolution and development of LVA anastomosis sites and techniques.Results LVA is a bypass drainage surgery that has undergone multiple stages of development since its inception.Due to individual differences,the location,method,number of anastomoses,and clinical applications are often based on the surgeon's experience,and there is still no unified application scenario.Conclusion LVA is a highly promising surgical procedure that can effectively relieve symptoms of early-and mid-stage lymphedema.With the advantages of minimal invasiveness and rapid recovery,it can serve as a firstline surgical option for lymphedema.
作者
罗紫依
肖顺娥
邓呈亮
LUO Ziyi;XIAO Shune;DENG Chengliang(Department of Burns and Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi Guizhou,563000,P.R.China)
出处
《中国修复重建外科杂志》
北大核心
2026年第2期321-327,共7页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(82372541、82260391、82360448、82560448)
贵州省淋巴水肿基础与临床研究科技创新人才团队建设(黔科合人才CXTD[2025]051)
贵州省高层次创新型人才“千”层次人才(xmrc120240201)
贵州省临床医学研究中心——创面修复研究(黔科合平台LCZX[2025]005)。
关键词
继发性淋巴水肿
淋巴管静脉吻合术
吻合部位
吻合方式
吻合数量
功能性淋巴管
Secondary lymphedema
lymphaticovenous anastomosis
anastomosis site
anastomosis technique
anastomosis number
functional lymphatic vessels
